Provider Demographics
NPI:1811503154
Name:FERCHO, KIRA MARIE
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:MARIE
Last Name:FERCHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 N 27TH ST # 117
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1121
Mailing Address - Country:US
Mailing Address - Phone:406-661-1030
Mailing Address - Fax:
Practice Address - Street 1:6509 WESTERN WAY
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-3224
Practice Address - Country:US
Practice Address - Phone:406-661-1030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty